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General NPI Number Information
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NPI Number | 1669351672
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Entity Type | Organization
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Legal Business Name | O&P SURGICAL, LLC
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Dates
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Enumeration Date | 09/02/2025
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 1061 DOWDY RD STE 202
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City | ATHENS
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State | GA
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Zip | 30606-5700
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Country | US
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Telephone | 706-389-8941
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Fax | 706-389-8942
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Provider Business Mailing Address
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Address Line | 1061 DOWDY RD STE 202
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City | ATHENS
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State | GA
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Zip | 30606-5700
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Country | US
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Telephone | 706-389-8941
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Fax | 706-389-8942
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Authorized Official
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Title or Position | OWNER
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Name | WILLIAM ASHFORD
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Credential | MD
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Telephone | 706-389-8941
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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